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  1. Surveys
  2. 2008
  3. September
  4. P
  5. Physician Self-Eval
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SDA Physicians,

Please take a few moments to complete this Physician Self-Evaluation. This self-evaluation is required and is designed to allow you to reflect on how you perform your duties & responsibilities as an anesthesiologist, member of our group, and as related to our Standards of Excellence for SDA physicians.

This self-evaluation is for your benefit. Thoughtfully evaluating yourself is a key to growth & improvement. Your individual responses are confidential and will not be shared with other physicians. The Physician Relations Committee will compile the results of all group members' responses. They will only review your self-evaluation and provide feedback and assistance at your request.


The self-evaluation should take about 10 minutes to complete. A copy of your completed evaluation will be emailed to you within 48-72 hours of completion by Woody Anderson. Please contact any member of the PRC (Bruce Baird, Kent Davis or Jon Erickson) if you have any questions.

Please complete this self-evaluation no later than November 28, 2008.

Thank you,
The Physician Relations Committee
 
 
Patient Care:

    Unacceptable     Needs Improvement     Satisfactory     Above Average     Outstanding
Maintains the highest level of knowledge.
Always provides the highest level of technical
skills.
Always provides exceptional level of vigilance
while caring for patients.
Treats patients with respect and
confidentiality.
Is willing to limit relief to between cases and/or
emergency or special circumstances.
Attempts to call patients the night before
surgery.
 
 
Group Unity:

    Unacceptable     Needs Improvement     Satisfactory     Above Average     Outstanding
Recognizes that for the individual to
succeed, the group must be successful.
Consistently makes choices for the
group over individual issues.
Always represents one's self as a
group member rather than as an individual.
 
 
Respect:

    Unacceptable     Needs Improvement     Satisfactory     Above Average     Outstanding
Treats SDA physicians with respect.
Treats surgeons with respect.
Treats nurses and hospital staff with respect.
Treats office staff with respect.
 
 
Skill Set:
    Unacceptable     Needs Improvement     Satisfactory     Above Average     Outstanding
Meets the requirements of SDA's
minimum skillset.
Is comfortable with providing a full
range of anesthesia services.
 
 
Communication:
    Unacceptable     Needs Improvement     Satisfactory     Above Average     Outstanding
Maintains SDA's corporate information in a
confidential manner.
Communicates effectively with other physicians
and office staff, including responding
promptly to pages, calls and emails.
Works proactively to problem solve.
Actively works to mitigate conflict
in the hospital environment.
 
 
Punctuality:
    Unacceptable     Needs Improvement     Satisfactory     Above Average     Outstanding
Arrives at the scheduled facility early enough
to ensure on time starts.
Always arrives more than 30 minutes before
a case if a block is needed.
Completes Billing cards in a timely fashion.
Completes Credentialing requirements in a
timely fashion.
 
 
Group Involvement & Support:
    Unacceptable     Needs Improvement     Satisfactory     Above Average     Outstanding
Serves on Committees.
Active participant in group meetings.
Participates in completing surveys.
Actively participates in shareholder voting.
Complies with SDA's policies and
procedures.
Complies with the facilities' policies and
procedures.
 
 
Professionalism:
    Unacceptable     Needs Improvement     Satisfactory     Above Average     Outstanding
Holds self accountable for all personal
actions in all situations.
Maintains a professional appearance
at all times.
Maintains a professional demeanor
at all times.
Always works to develop effective
relationships with surgeons, SDA physicians,
hospital administration, hospital staff, and
office staff.
 
 
 
If you rated yourself as Unacceptable or Needs Improvement on any category (in any area), why, and what will you be doing to improve yourself?
   
 
 
 
Please provide feedback regarding this evaluation process, and what we can do to improve it.
   
 
Please contact [email protected] if you have any questions regarding this survey.
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